Provider Demographics
NPI:1972203230
Name:LUJAN, ROBERTA KARLINA (LMHC)
Entity type:Individual
Prefix:
First Name:ROBERTA
Middle Name:KARLINA
Last Name:LUJAN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1414 LOS ARBOLES AVE NW
Mailing Address - Street 2:
Mailing Address - City:ALBUQUERQUE
Mailing Address - State:NM
Mailing Address - Zip Code:87107-1016
Mailing Address - Country:US
Mailing Address - Phone:505-702-6737
Mailing Address - Fax:
Practice Address - Street 1:1414 LOS ARBOLES AVE NW
Practice Address - Street 2:
Practice Address - City:ALBUQUERQUE
Practice Address - State:NM
Practice Address - Zip Code:87107-1016
Practice Address - Country:US
Practice Address - Phone:505-702-6737
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-06
Last Update Date:2023-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NMCTB-2023-0700101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health